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    3,4,& 6 Cranial Nerves

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    Vignesh
    The document discusses the 3rd, 4th, and 6th cranial nerves, which supply different extraocular muscles. The oculomotor nerve (3rd nerve) innervates the medial, superior, and inferior rectus muscles. The trochlear nerve (4th nerve) solely innervates the superior oblique muscle. The abducens nerve (6th nerve) innervates the lateral rectus muscle. Common causes of cranial nerve palsy include vascular conditions like diabetes and hypertension, trauma, tumors, and aneurysms. Diagnosis involves examining for binocular diplopia, restricted eye movements, and abnormal head positioning.

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    3,4,& 6 Cranial Nerves

    Uploaded by

    Vignesh
    800 views28 pages
    The document discusses the 3rd, 4th, and 6th cranial nerves, which supply different extraocular muscles. The oculomotor nerve (3rd nerve) innervates the medial, superior, and inferior rectus muscles. The trochlear nerve (4th nerve) solely innervates the superior oblique muscle. The abducens nerve (6th nerve) innervates the lateral rectus muscle. Common causes of cranial nerve palsy include vascular conditions like diabetes and hypertension, trauma, tumors, and aneurysms. Diagnosis involves examining for binocular diplopia, restricted eye movements, and abnormal head positioning.

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    3,4,& 6 CRANIAL NERVES.ppt

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    The document discusses the 3rd, 4th, and 6th cranial nerves, which supply different extraocular muscles. The oculomotor nerve (3rd nerve) innervates the medial, superior, and inferior rectus muscles. The trochlear nerve (4th nerve) solely innervates the superior oblique muscle. The abducens nerve (6th nerve) innervates the lateral rectus muscle. Common causes of cranial nerve palsy include vascular conditions like diabetes and hypertension, trauma, tumors, and aneurysms. Diagnosis involves examining for binocular diplopia, restricted eye movements, and abnormal head positioning.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    800 views28 pages

    3,4,& 6 Cranial Nerves

    Uploaded by

    Vignesh
    The document discusses the 3rd, 4th, and 6th cranial nerves, which supply different extraocular muscles. The oculomotor nerve (3rd nerve) innervates the medial, superior, and inferior rectus muscles. The trochlear nerve (4th nerve) solely innervates the superior oblique muscle. The abducens nerve (6th nerve) innervates the lateral rectus muscle. Common causes of cranial nerve palsy include vascular conditions like diabetes and hypertension, trauma, tumors, and aneurysms. Diagnosis involves examining for binocular diplopia, restricted eye movements, and abnormal head positioning.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 28

    3,4,& 6 CRANIAL NERVES

    DR.N.RADHAKRISHNAN.
    EXTRA OCULAR MUSCLES
    NERVE SUPPLY OF EOM
    OCULOMOTOR NERVE(3 Nerve)
    Supply Medial rectus,Superior
    rectus,Inferior rectus , Inferior oblique,LPS
    and Sphincter Pupil
    TROCHLEAR NERVE(4CN)
    Supply only Superior Oblique muscle
    ABDUCENT NERVE(6CN)
    Supply Lateral Rectus muscle
    ACTIONS OF EOM
    NUCLEUS AND ORIGIN OF 3,4 &6
    CRANIAL NERVES
    Nucleus and origin of oculomotor
    nerve
    NUCLEUS AND ORIGIN OF
    TROCHLEAR NERVE
    CAVERNOUS SINUS
    TROCHLEAR NERVE
    CRANIAL NERVES
    CAVERNOUS SINUS
    COMMON CAUSES OF PALSY
    Vasculopathy(DM, HT,)
    Trauma
    Tumours
    Head injury
    Aneurysm
    Increased ICT
    Idiopathic
    Congenital
    DIAGNOSIS OF PALSY
    Binocular diplopia.
    Restricted ocular movement
    Paralytic squint.
    Abnormal head posture to avoid diplopia
    Ptosis & Dialated,Fixed pupil.
    OCULOMOTOR NERVE PALSY
    PUPIL SPARING?
    HEAD TILT RIGHT TROCHLEAR
    NERVE PALSY
    RIGHT SIXTH NERVE PALSY
    PAINFUL OPHTHALMOPLEGIA
    Diabetic neuritis
    Temporal arteritis
    Tolosa Hunt syndrome
    Aneurysm.
    Ophthalmoplegic migraine.
    MONONEURITIC PALSY.
    Isolated single nerve palsy of 3,4,or 6
    cranial nerve is very common in diabetics.
    Usually such palsies recover very slowly
    over few months completely.
    Recurrent attacks can occur.
    Isolated 3 Nerve palsy with pupillary
    sparing is diagnostic of vasculopathy
    aetiology due to diabetesor hypertension.
    MULTIPLE NERVE PALSIES
    Usually multiple oculomotor palsies
    suggest the lesions in the cavernous
    sinus, superior orbital fissure or orbital
    lesions.
    DIAGNOSIS OF OCULOMOTOR
    NERVE PALSIES.
    Diplopia
    Careful evaluation of extra ocular
    movements
    Position of head and neck.
    CT Scan.
    MRI.

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